UBC Faculty Research and Publications

Timing of Income Assistance Payment and Overdose Patterns at a Canadian Supervised Injection Facility Zlotorzynska, Maria; Milloy, M-J; Richardson, Lindsey, 1977-; Nguyen, Paul; Montaner, Julio; Wood, Evan; Kerr, Thomas

Abstract

Background: Little is known about the relationship between timing of income assistance provision and health behaviours among injection drug users (IDU). We therefore investigated associations between income assistance provision and overdose patterns among IDU utilizing Insite, a supervised injection facility in Vancouver, Canada. Methods: Using data collected at Insite between March 2004 and December 2010, we examined trends in overdoses and drugs injected. Data were stratified by proximity to the most recent day of issue of income assistance cheques, based on dates provided by the province. Results: After adjustment for frequency of use, the risk of overdose for those injecting at Insite on the three days starting with “cheque day” was higher than for those injecting on other days (Odds Ratio [OR]=2.06; 95% Confidence Interval [CI]: 1.80–2.36, p

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Attribution-NonCommercial-NoDerivatives 4.0 International